| Entity Name: | SANDPIPER SPEECH AND LANGUAGE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jan 2022 (3 years ago) |
| Document Number: | L22000045903 |
| FEI/EIN Number | 87-4626891 |
| Address: | 9160 Forum Corporate Parkway, Fort Myers, FL, 33905, US |
| Mail Address: | 4341 LAZIO WAY, APT. 1203, FORT MYERS, FL, 33901, US |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063133205 | 2022-09-06 | 2023-07-17 | 4341 LAZIO WAY APT 1203, FORT MYERS, FL, 339019622, US | 9160 FORUM CORPORATE PARKWAY, SUITE 350, FORT MYERS, FL, 33905, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 239-312-9001 |
| Fax | 2392065074 |
Authorized person
| Name | ERICA KILGORE |
| Role | OWNER/SLP |
| Phone | 2393129001 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KILGORE ERICA | Agent | 4341 LAZIO WAY, FORT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| KILGORE ERICA | Chief Executive Officer | 4341 LAZIO WAY APT. 1203, FORT MYERS, FL, 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-16 | 9160 Forum Corporate Parkway, Ste 305, Fort Myers, FL 33905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-24 |
| Florida Limited Liability | 2022-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
